Individual
ANNMARIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(773) 516-4249
Mailing address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005201
IL
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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